HomeMy WebLinkAboutNEW RESIDENTIAL SERVICE APPLICATION'Y OF PORT.ST. LUCIE .UTILITY SYSTEMS DEPARTMENT
NEW RESIDENTIAL-SERVICE,-A-PPLICATION
City of Port St Lucie ility Systems
0868820 ' 820672
121 SW Port St. Lucie Blvd
CUStOI11er - ACCOUrIt.
Port St. Lucie, FL 34984
(772)871-5330
Utility�cityof sl.com
WATER Capacity: (One ERQ:
$1,380.00
CCp
A
TION INC
N.ON:SAD/USA Line Fee:
$'
S
05/03/2018 1 RECEIPT #: 0291124
SAD/USA %" Meter Fee:
$ 621.00
�.pl�
Customer- Account: 0868820 - 820672
NON SAD/USA %" Meter Fee:.
$
Zc
C
RON RAYMOND CONSTRUCTION INC
:981 . TOTAL WATER:
$ 2,001.00
5140 DUNN ROAD
N
Deposit Paid - Sewer $90.00
34979-2058 SEWER Capacity: (One ERQ:
$ 2;111.00
Deposit Paid -Water $50.00
I NON SAD/USA Line Fee:
$
PI
Miscellaneous $7,138.00
'hj- n Grinder Installation:
$ 3,026.00
Subtotal $7.278.00
I_I
LPS Installation fee:
Total $7,278.00
, Septic -Service:
$
TOTAL$EWER:'
$ 5,137.00
_--__-TENDERED-----
Check #11920 $7,278.00
Total $7,278.00
Security Deposit Water:
$ 50.00
Cl ahge $0.00
Security Deposit Sewer:
$ 90.00
Le
-$7.278.00
i
, Recording Fee:
$
Remaining Balance
- —'
LESS DEPOSIT & RECORDING
$
Zone:
NON
TOTAL AMOUNT DUE:
$ 7,278.00
Plant:
GP".
Cash F1 CreditCard 0 Check #.11920
RECEIPT #: 0291124 DATE PAID: 05/03/2018 BY: AMCCOY
UTILITY will provide water and/or sewer service upon payment of the applicable connection charges and compliance with the Terms and Conditions listed on the back of this Service Application. The Utility policies provide fora water
and /or wastewater plant capacity allocation of two hundred and fifty (250) gallons per day equivalent residential connection (ERC). The Utility will not be obligated to provide capacity of service in excess of the allocation and may
require consumerto curtail use which exceeds such allocated capacity. I have read and acknowledge receipt of this Service Agreement by signature below.
Customs Signature Date